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Medical Forum / General / Dentistry / May 2007Wisdom teeth
This is an xray I took about 4 months ago: http://img223.imageshack.us/img223/2061/dentlm4.jpg The doctor advised to have both bottom wisdom teeth and the upper right (as shown in the pic) extracted. Both bottom teeth have been extracted. My question is, should I have the upper one extracted as well? I'm looking for a second opinion. Assuming you are a young adult, I think you should consider having the two upper wisdom teeth removed. Discuss it with your dentist to be sure.  Signature/ Amatus / > This is an xray I took about 4 months ago: > [quoted text clipped - 7 lines] > > I'm looking for a second opinion. Agreed, have both upper WTs removed (# 1, 16) >Assuming you are a young adult, I think you should consider having the two >upper wisdom teeth removed. Discuss it with your dentist to be sure. [quoted text clipped - 10 lines] >> >> I'm looking for a second opinion. > Agreed, have both upper WTs removed (# 1, 16) Ditto--all 4. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Agreed, have both upper WTs removed (# 1, 16) > > Ditto--all 4. > >Steve OP said: >Both bottom teeth have been extracted. My question is, should I have >the upper one extracted as well? I would say yes. The reason. One as the wisdom tooth grows in it will push into the tooth ahead of it. Making an area for possible decay. It can shift your other teeth and possibly cause an infection. If that ttoth does fully erupt ( come all the way in) with no tooth to hit it on the bottom it will keep on erupting into that open space. Most DDS's will take all 4 at one time for this reason. On the other hand. If that tooth is still completely in the gum tissue I have seen other DDS's leave it. So bottom line is it is your choice. Just make sure you gather all the information you can about if you extract it and if you don't so you make an educated decision! Good luck DB >This is an xray I took about 4 months ago: > [quoted text clipped - 7 lines] > >I'm looking for a second opinion. It can shift > your other teeth Several studies have contradicted this. D > It can shift > [quoted text clipped - 3 lines] > > D I agree with everyone on this one........get it out the earlier the better......(To prevent sinus infection, destruction of adjacent tooth, extract #1), ( To prevent cavities on #15 due to supra-eruption of #16 and Gum problem with #15--Extract #16). I will have both extracted if it is in my mouth.........#1 is not easy....But If your dentist can extract #17 and #32 with no problems, He probably can extract #1 and #16 too......... > I will have both >extracted if it is in my mouth.........#1 is not easy.... Nah, it's a walk in the park. Really. >But If your >dentist can extract #17 and #32 with no problems, He probably can >extract #1 and #16 too......... 17 & 32 looked straight forward to me. > > I will have both > >extracted if it is in my mouth.........#1 is not easy.... [quoted text clipped - 7 lines] > > 17 & 32 looked straight forward to me. That is because you are an experience dentist with excellent surgical skills......I bet 8 out of 10 GP down the road from you will referred #1 out. Many GP's don't even know how to lay a flap..........How do you think OMFS make over $500K per year.....I don't think they place that many implants........Right? Albert > > On 9 May 2007 13:54:08 -0700, "ahuangd...@gmail.com" <ahuangd...@gmail.com> > > wrote: [quoted text clipped - 17 lines] > that many implants........Right? > Albert Maxillofacial surgery (excluding in office "routine extractions") can get very expensive. Webby > In article <1178747363.313250.140...@y5g2000hsa.googlegroups.com>, > [quoted text clipped - 27 lines] > > - Show quoted text - True........But....Wizzy extraction with General sedation is the bread and butter procedure for most Oral surgeon.........One of my best friend is an OMFS.....He is the one that teach me doing sinus lift, ridge augmentation, and wizzy removal........I was suprise when he told me 60% of his collection came from Wizzy extraction, 30% came from Maxillofacial surgeries, and merely 10% are from implant placement.........He maintain a low overhead, and rarely sent out christmas goodies to referring GPs..........Now only an OMFS can do that........... Hold it ! ! ! ! ! You trained to do sinus lift's, but are afraid to do a simple soft tissue extraction of an upper third? Come on! Something does not fit here. Did I misunderstand? Signature/ Amatus / >> In article <1178747363.313250.140...@y5g2000hsa.googlegroups.com>, >> [quoted text clipped - 38 lines] > christmas goodies to referring GPs..........Now only an OMFS can do > that........... > Hold it ! ! ! ! ! > [quoted text clipped - 56 lines] > > - Show quoted text - Not me.....I have no problem with all these four teeth......But it may suprise you.....many dentist will referred these four teeth out. That is why OMFS make so much money. BTW: I love cases like this.......$250 for each extraction, $200-$300 for each bone graft......It is good production for the business. > > Hold it ! ! ! ! ! > > [quoted text clipped - 62 lines] > BTW: I love cases like this.......$250 for each extraction, $200-$300 > for each bone graft......It is good production for the business. It would be interesting to go back before the mid 1990s to see how much bread and butter came from "TMJ surgery" (and all the fixin's). W > In article <1178806940.665553.248...@o5g2000hsb.googlegroups.com>, > [quoted text clipped - 72 lines] > > - Show quoted text - I think dentistry changed a long way in the last 10 years.......it is a constant changing science that we learn by practicing and learning from others. 10 years ago how many dentist will dare to immediate extract/ immediate placement/immediate temporization........Now I know many dentist are doing immediate placement flap or none flap.........I don't know much about everything because I'm still very new at this....But I'm eager to learn, and I hope by doing my learning I can provide a better care for my patient. Albert > > In article <1178806940.665553.248...@o5g2000hsb.googlegroups.com>, > > [quoted text clipped - 90 lines] > provide a better care for my patient. > Albert Take, for instance, total joint replacement of the TMJ. I am providing a link to an article that, IMHO, is worthy of everyone's time to read. Note what was going on ten years ago. http://www.baylorhealth.edu/proceedings/13_2/13_2_wolford.html Learning is never finished. But then we all know that... Webby I forgot all about Larry Wolford. Signature/ Amatus / > >> > In article <1178806940.665553.248...@o5g2000hsb.googlegroups.com>, [quoted text clipped - 110 lines] > > Webby > I forgot all about Larry Wolford. Just so that *we* don't forget all about Charles Homsy and Jack Kent. You know, I'm one of those "cases" referred to in the first study with Techmedica. My joints were #48 and #49, IIRC. Anyway, they were within the first 50. Back in 1991-1992, if I had had the surgery done at Baylor, Baylor required $100,000.00 cash prior to admission *and* insurance "preauthorization". I opted to wait a couple months until my regular LA surgeon was ready for my case. St. John's Hospital in Santa Monica didn't require what Baylor did. Sheesh..... Webby > >> > In article <1178806940.665553.248...@o5g2000hsb.googlegroups.com>, > >> > [quoted text clipped - 109 lines] > > > > Webby In article <tmjiatroepidemic-802671.14285410052007@news.phx.highwinds-media.com>, > > I forgot all about Larry Wolford. > [quoted text clipped - 6 lines] > regular LA surgeon was ready for my case. St. John's Hospital in Santa > Monica didn't require what Baylor did. Sheesh..... Also, I could have gone to Chicago with Dr. Mercuri but I didn't want to be *postop* in Chicago during the winter trying to make my way back home; so I didn't investigate the finances. Instead, Dr. Mercuri travelled to LA in winter (Jan '92) to observe my surgery. LA/Santa Monica became the 3rd geographical location where the Techmedica joint replacement surgery was available. And of course, the manufacturer was just north of LA (still is in the same general area -- TMJ Concepts). Webby > Webby [clip] > > >> But I'm eager to learn, and I hope by doing my learning I can > > >> provide a better care for my patient. [quoted text clipped - 9 lines] > > > > > > Webby > In article > <tmjiatroepidemic-802671.14285410052...@news.phx.highwinds-media.com>, [quoted text clipped - 41 lines] > > - Show quoted text - Great insight.......Thanks for the info Webby........... > > In article > > <tmjiatroepidemic-802671.14285410052...@news.phx.highwinds-media.com>, [quoted text clipped - 44 lines] > > Great insight.......Thanks for the info Webby........... With pleasure, Albert. Thanks for your attention. Webby the wisdom teeth extarction- dont correct nature just like that. The reason of extraction are the symptoms.. regards kris-polanowski DDS >> > In article <1178806940.665553.248...@o5g2000hsb.googlegroups.com>, >> > [quoted text clipped - 109 lines] > > Webby I've wondered. Would it make more sense to have something named "wisdom" that functions well and remains in the body? It seems a bit peculiar to name "wisdom" a body part that gives pain and needs to be yanked out with renamed over glorified pliers. What else can we rename and yank out with pliers? How about a wisdom appendix? Maybe a couple wisdom ear lobes? Get creative, a wisdom hemmorhoid? Couple feet of wisdom lower intestine? SignatureChristopher A. Young You can't shout down a troll. You have to starve them. . > I've wondered. Would it make more sense to have something named > "wisdom" that functions well and remains in the body? [quoted text clipped - 6 lines] > wisdom appendix? Maybe a couple wisdom ear lobes? Get creative, a > wisdom hemmorhoid? Couple feet of wisdom lower intestine? Wizzies were so named because of the age at which they normally erupt (18-21). Steve Guess we aren't your regular GPs. ;-) Steve > That is because you are an experience dentist with excellent surgical > skills......I bet 8 out of 10 GP down the road from you will referred > #1 out. Many GP's don't even know how to lay a flap..........How do > you think OMFS make over $500K per year.....I don't think they place > that many implants........Right? > Albert > Guess we aren't your regular GPs. > ;-) [quoted text clipped - 8 lines] > > - Show quoted text - >From the reading of posts made by the regulars here......I'm very impress with the knowledge this bunch have.............Thta is why I keep coming back to learn from others......... >>Guess we aren't your regular GPs. >>;-) >>Steve >>From the reading of posts made by the regulars here......I'm very > impress with the knowledge this bunch have.............Thta is why I > keep coming back to learn from others......... Hey, don't go buttering me up. I'll think I'm in the wrong ng <G>. D > >>Guess we aren't your regular GPs. > >>;-) [quoted text clipped - 7 lines] > > D What is it they say about conquering Rome? ;-) W >> >>Guess we aren't your regular GPs. >> >>;-) [quoted text clipped - 11 lines] > >W "Methinks something is rotten in Denmark" ? > >> >>Guess we aren't your regular GPs. > >> >>;-) [quoted text clipped - 13 lines] > > "Methinks something is rotten in Denmark" ? Sure... why not???? It works for me! ;-) >> > I will have both >> >extracted if it is in my mouth.........#1 is not easy.... [quoted text clipped - 14 lines] >that many implants........Right? >Albert Yep, I'd buy that for a dollar. BTW what are the average fees for impactions in your area ? > >> > I will have both > >> >extracted if it is in my mouth.........#1 is not easy.... [quoted text clipped - 20 lines] > > - Show quoted text - We all know there are many style of practice, and everyone's comfort level is different. I think the average FFS fee for impaction is $250, Insurance......I don't know.....Most my patient are FFS.....I sign up with only 2 PPO. Dartos <tuthjockey@myturbonet.com> wrote in news:1178714995_1342 @news.newsville.com: >> It can shift >> your other teeth > > Several studies have contradicted this. Really? I'm interested in this because my dentist mentioned that they could move other teeth. Note that I had the teeth pulled at an oral surgeon, not by that dentist, he said he couldn't do the operation. To share my experience, the only tooth out of the 4 that was causing any pain was the lower left one. After it was removed I noticed that the whole left side of the teeth on the low jaw looked like they had been pushed to the right. I'm not certain that the wisdom tooth moved them because (believe it or not) I had never looked carefully in that area before the extraction, in my whole life. So it might have been that way from the beginning. In the 1960's, all dentists thought wisdom teeth would push the teeth forward. In the 1970's about half though this way. In the 1980's, about 20%. Do you see the trend? If wisdom teeth could push teeth around, a wisdom tooth with the tooth in front of it missing, should virtually march forward at the rate of 8-10 mm every month. Instead, all they do is fall over (tip forward). Wisdom teeth often have small roots. Even if they had normal sized roots, you would be asking that amount of surface area to be able to push 5-8 times as much root surface area forward. Ever try to push a car stuck in the snow and your feet kept slipping? Signature/ Amatus / > Dartos <tuthjockey@myturbonet.com> wrote in news:1178714995_1342 > @news.newsville.com: [quoted text clipped - 15 lines] > area before the extraction, in my whole life. So it might have been > that way from the beginning. And I was not pointing this out to make excuses to keep the wisdom teeth. Most wisdom teeth over time have some problems develop that would make it a good idea to get them out of there. It's just that you should know why you're doing it and not make stuff up. :-) D > In the 1960's, all dentists thought wisdom teeth would push the teeth > forward. In the 1970's about half though this way. In the 1980's, about [quoted text clipped - 10 lines] > as much root surface area forward. Ever try to push a car stuck in the snow > and your feet kept slipping? |
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